Abstract:
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In October 2015, the U.S. healthcare industry adopted the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for diagnoses, and Procedure Coding System (ICD-10-PCS) for procedures. This new coding system significantly affects how CDC's National Center for Health Statistics (NCHS) collects, processes and reports data on the National Health Care Surveys, a family of nationally representative surveys of health care providers. This presentation discusses major initiatives that the NCHS Division of Health Care Statistics (DHCS) is taking in response. The DHCS ICD-10 Transitional Committee was convened to establish new coding and operational procedures to facilitate swift, efficient adaptation to the new coding system. Extensive training is conducted with field representatives to abstract detailed information from medical records and coding staff to understand new coding logic and assign correct codes. Studies are underway to determine how to group ICD-10 codes into meaningful categories and ensure comparability with ICD-9 codes for national benchmarking and trend analyses. These efforts are important for producing valid and reliable statistics.
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